Left armpit swelling (tennis ball size) and hard lump on collarbone

PVC

Varicella immunization expired on 1/9/25 and given in error to patient on 1/14/25. No adverse reactions noted.

This report is to provide notification of a medication error only. The 18 y/o client was inadvertently given Havrix vaccine indicated for adults 19 years old ad above. The patient did not experience any adverse effects. The client was monitored post vaccination, without consequence, and notified of the error.

Patient was due 15 month old immunizations. Dtap/IPV was ordered and given rather than DTAP/Hib

Prevnar 20 only approved as a single one time dose. Patient received one dose on 03/11/2023, and another on 01/21/2025. Patient hasn’t reported any side effects but dose was given outside series recommendation.

Shingrix vaccine given on left arm, feel underarm pain running down to elbow. Pain intensifies when lifting left arm up.

Donor reports fever of 101.8 F, Chills, body aches, malaise, dizziness and severe headache. Admits to self admin of Ibuprofen x3. Reports S/S persisted x4 days.

Pt had received Hep B series as an infant, recently had titers drawn that showed no immunity. An adult Hep B was administered inadvertently instead of a pediatric dose.

Patient received second dose of Moderna 2024-2025 vaccine outside of ACIP protocol (not having immunocompromised state). Patient did not report any S/Es outside of soreness at the injection site.